NPIMap

Organization Active NPI

Cardiovascular Center PLLC

  • Cardiovascular Disease Physician
  • Parker, AZ
National Provider Identifier
1437483385
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26534 Issued in AZ
Legal business name
CARDIOVASCULAR CENTER PLLC
Practice address
1413 W 16TH St
Parker, AZ 85344-6310
Phone
(928) 669-8161
Fax
(928) 669-8171
NPI assigned
Sep 24, 2009
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Kresock, MDNPI 1316948169
Title
Ceo
Phone
(928) 669-8161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26534 AZ Primary

Addresses

Primary practice location

1413 W 16TH St
Parker, AZ 85344-6310

Mailing address

1413 W 16TH St
Parker, AZ 85344-6310
Phone (928) 669-8161

National Provider Directory

National Provider Directory

Locations

1413 W 16th St
Parker, AZ 85344
Phone (928) 669-8161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1437483385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W 16TH ST",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446310",
            "telephone_number": "928-669-8161",
            "fax_number": "928-669-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W 16TH ST",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446310",
            "telephone_number": "928-669-8161",
            "fax_number": "928-669-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "KRESOCK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-669-8161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "26534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.